Thread: Liver Shunts?
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Old 08-22-2008, 06:13 PM   #22
kna4977
Yorkie Talker
 
Join Date: Aug 2008
Location: Midlothian TX
Posts: 11
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Quote:
Originally Posted by Yorkieluv View Post
What kind of scan did they do? Ultrasound or scintigraphy? Ultrasounds are typically inconclusive when it comes to shunts...Also, they don't show if your dog has MVD...
Phenobarb should be an absolute last resort b/c it is very, very hard on the liver. If liver problems are suspected, nutritional management and supplements should be the first thing you try to get the seizures to stop...This includes giving 4-6 small meals per day to lighten the load on the liver, giving vegetarian food, milk thistle, denosyl, lactulose (3x/day so that your baby has 2 soft stools per day), etc.
IF that does not help and they still think it's liver related, then usually Potassium Bromide is used in liver compromised dogs rather than phenobarb.
Scintography. Thanks for the info, will run it by the vet. I'm a pharmacist and should know all this stuff, but all we dealt with in school and mostly in practice is people. I do know that it is last line in people now because there are so many better options with a lower side effect profile and fewer drug interactions. In fact about the only prescriptions I see for Pb anymore are in canines. Got a feeling I'm getting the course work that was missing from the curriculum in school now
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